Bonnett, Rachel Jakab

Bonnett, Rachel Jakab is an individual health care provider with primary practice located at 725 Rodel Cv , Lake Mary FL 32746-4859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonnett, Rachel Jakab can be contacted via phone (407) 302-3119.

Contact Information

Primary practice address
725 Rodel Cv Lake Mary FL 32746-4859
Phone: (407) 302-3119
Fax: (407) 302-7038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9218510 Florida

Profile Details

NPI number 1639207921
LBN Legal business name Bonnett, Rachel Jakab
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639207921 NPPES
Florida MEDICAID 3081877-00

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